Michael Craig Mallea in Springfield - Specialist
Michael Craig Mallea - NPI 1043235377
Michael Craig Mallea is a Specialist in Springfield, Oregon. Michael Craig Mallea practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael Craig Mallea is 1043235377. The last update date is 2022-06-29.
Michael Craig Mallea's current location address is 3355 Riverbend Dr, Springfield, Oregon. You can contact this provider via phone number 5418689247 and fax number 5414850452. The mailing address for Michael Craig Mallea is 3355 Riverbend Dr, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Craig Mallea |
---|---|
Address | 3355 Riverbend Dr, Springfield, Oregon |
Phone Number | 5418689247 |
Fax Number | 5414850452 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1043235377 |
---|---|
Provider Enumeration Date | 2006-07-13 |
Last Updated Date | 2022-06-29 |
Provider Mailing Address Detail
Address | 3355 Riverbend Dr |
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City | Springfield |
State | Oregon (OR) |
Post Code | 974778800 |
Phone Number | 5418689247 |
Fax Number | 5414850452 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | M7108 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
12252 | ID | BLUE CROSS | |
150023 | OR | -- | |
390004362 | ID | RR MEDICARE | |
10002160 | ID | BLUE SHIELD | |
3813700 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael Craig Mallea by the Centers for Medicare & Medicaid Services?
The Michael Craig Mallea has been assigned the NPI (National Provider Identifier) 1043235377 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Michael Craig Mallea is located?
The Michael Craig Mallea is situated at the following address: 3355 Riverbend Dr, Springfield, OR, 974778800.
What is the Michael Craig Mallea's area of specialization and corresponding taxonomy classification?
The Michael Craig Mallea's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1043235377 to Michael Craig Mallea?
The Michael Craig Mallea received its 1043235377 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the details related to Michael Craig Mallea most recently updated or revised?
The information pertaining to Michael Craig Mallea, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-29.
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